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KineretMedica

Rheumatoid Arthritis – Patient is Currently Receiving Kineret

Preferred products

  • Actemra subcutaneous
  • Tyenne subcutaneous
  • Enbrel
  • adalimumab-adbm
  • adalimumab-adaz
  • adalimumab-ryvk
  • Simlandi
  • Rinvoq
  • Xeljanz tablets
  • Xeljanz XR

Initial criteria

  • Patient meets the standard Inflammatory Conditions – Kineret Prior Authorization Policy criteria
  • Patient meets ONE of the following (a or b): a) Patient has tried TWO of a tocilizumab subcutaneous product, Enbrel, an adalimumab product, Rinvoq, and Xeljanz/XR [documentation required]; OR b) Patient has been established on Kineret for at least 90 days and prescription claims history indicates at least a 90-day supply was dispensed within the past 130 days, or if claims history is not available, verified by the prescriber that therapy has been received via paid claims

Approval duration

1 year